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Sixteen pieces of a short axis section of a heart are blocked in paraffine, sectioned and stained Masson's trichrome. Each slides are scanned by Aperio virtual histology scanner. Pictures are taken at the virtual slide viewer and then photomicrographs are reassembled by image handling program. Reassembling is an artwork by an image expert, professional architect /urban designer.

Cardiac muscle is red and fibrotic area is blue. Right ventricle has multiple foci of myocardial scars which is bigger than usual replacement fibrosis seen in  viral or immune myicarditis. Left ventricular myocardium is also affected but in less severe degree. Right ventricular wall is thin and fatty replacemect is conspicuous. 

What is your diagnosis? Your choice?

1. Amyloidosis

2. Sarcoidosis

3. Hypertrophic cardiomyopathy

4. Arrhythmogenic right ventricular dysplasia

5. Post-myocarditiic dilated cardiomyopathy

 

 

 

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